$Unique_ID{BRK02028}
$Pretitle{}
$Title{Cheilosis Around the Mouth and Possible Causes}
$Subject{Cheilosis cold sore cold sores angular cheilitis ulcers herpes
infection B vitamins vitamin B staph fungus perleche skin conditions lesion
lesions mouth lips rash}
$Volume{}
$Log{}

Copyright (c) 1993  Tribune Media Services, Inc.


Cheilosis Around the Mouth and Possible Causes


------------------------------------------------------------------------------

QUESTION:  I have a sore, right in the corner of my mouth, where the upper and
lower lips meet.  The skin is scaly and there is a crack in the skin, which is
painful.  I thought it was an ordinary cold sore, but it hasn't gone away and
I think this I something different.  Is it possible for you to tell me where
this came from and what to do?

------------------------------------------------------------------------------

ANSWER:  I can try, but as with so many other questions about skin conditions,
it is a difficult call without actually seeing the problem.  That's why I
always advise an examination by your own physician, who can consider all the
possibilities after a careful look at the lesion.
     However, it sounds like a condition known by several names including
"cheilosis", or "angular cheilitis".  These lesions appear at the corner of
the mouth, and are marked by fissuring of the skin, erosions and shallow
ulcers.  There is usually some yellow or pink crusting associated with the
sore.  It is often confused with a herpes infection (cold sore).  Cheilosis
can be caused by ill fitting dentures, or lack of teeth and drooling.  It
might be the result of an allergy, to lipstick for example, and can be related
to a deficiency of some of the B vitamins.  An infection is another possible
cause, either by a staph or fungus (often called perleche).  The cure will
depend upon an accurate diagnosis, then choosing the treatment most effective
for that condition.

----------------

The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician.  Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.